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<div style="position:absolute; width:227px; height:17px; left:240px; top:8px;font-family:黑体;font-size:11pt;font-weight:400;color:#000200;"><div align="CENTER">创业智慧医院</div></div>
<div style="position:absolute; width:117px; height:17px; left:462px; top:8px;font-family:黑体;font-size:11pt;font-weight:400;color:#000200;"><div align="LEFT">(组织机构代码：</div></div>
<div style="position:absolute; width:94px; height:0px; left:571px; top:26px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="86" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:15px; height:14px; left:657px; top:9px;font-family:黑体;font-size:11pt;font-weight:400;color:#000200;"><div align="LEFT">）</div></div>
<div style="position:absolute; width:71px; height:17px; left:174px; top:8px;font-family:黑体;font-size:11pt;font-weight:400;color:#000200;"><div align="LEFT">医疗机构</div></div>
<div style="position:absolute; width:228px; height:0px; left:239px; top:27px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="220" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:257px; height:18px; left:244px; top:31px;font-family:黑体;font-size:12pt;font-weight:700;color:#000200;"><div align="CENTER">住 院 病 案 首 页</div></div>
<div style="position:absolute; width:24px; height:15px; left:330px; top:53px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">第</div></div>
<div style="position:absolute; width:64px; height:15px; left:374px; top:53px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">次住院</div></div>
<div style="position:absolute; width:53px; height:15px; left:514px; top:53px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">病案号：</div></div>
<div style="position:absolute; width:64px; height:15px; left:322px; top:84px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">出生日期</div></div>
<div style="position:absolute; width:40px; height:15px; left:527px; top:84px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">年龄</div></div>
<div style="position:absolute; width:127px; height:0px; left:379px; top:100px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="119" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:38px; height:0px; left:561px; top:100px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="30" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:105px; height:15px; left:527px; top:108px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">新生儿入院体重</div></div>
<div style="position:absolute; width:24px; height:15px; left:676px; top:108px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">克</div></div>
<div style="position:absolute; width:40px; height:15px; left:51px; top:84px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">姓名</div></div>
<div style="position:absolute; width:36px; height:15px; left:368px; top:132px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">籍贯</div></div>
<div style="position:absolute; width:35px; height:15px; left:584px; top:132px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">民族</div></div>
<div style="position:absolute; width:117px; height:15px; left:53px; top:108px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">(年龄不足1周岁的)</div></div>
<div style="position:absolute; width:35px; height:15px; left:387px; top:156px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">婚姻</div></div>
<div style="position:absolute; width:50px; height:15px; left:51px; top:132px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">出生地</div></div>
<div style="position:absolute; width:63px; height:15px; left:51px; top:156px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">身份证号</div></div>
<div style="position:absolute; width:64px; height:15px; left:391px; top:228px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">单位电话</div></div>
<div style="position:absolute; width:100px; height:0px; left:84px; top:100px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="92" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:73px; height:0px; left:219px; top:124px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="65" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:55px; height:0px; left:420px; top:124px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="47" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:57px; height:0px; left:624px; top:124px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="49" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:278px; height:0px; left:93px; top:148px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="270" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:186px; height:0px; left:397px; top:148px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="178" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:86px; height:0px; left:613px; top:148px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="78" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:157px; height:0px; left:107px; top:172px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="149" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:361px; height:0px; left:96px; top:196px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="353" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:455px; height:0px; left:109px; top:220px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="447" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:238px; height:0px; left:150px; top:244px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="230" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:93px; height:0px; left:447px; top:244px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="85" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:64px; height:15px; left:560px; top:1129px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">麻醉方式</div></div>
<div style="position:absolute; width:50px; height:28px; left:507px; top:1122px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">切口愈合等级</div></div>
<div style="position:absolute; width:64px; height:15px; left:633px; top:1129px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">麻醉医师</div></div>
<div style="position:absolute; width:37px; height:15px; left:190px; top:84px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">性别</div></div>
<div style="position:absolute; width:37px; height:15px; left:536px; top:228px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">邮编</div></div>
<div style="position:absolute; width:103px; height:0px; left:566px; top:244px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="95" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:36px; height:15px; left:305px; top:252px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">地址</div></div>
<div style="position:absolute; width:37px; height:15px; left:536px; top:252px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">电话</div></div>
<div style="position:absolute; width:73px; height:0px; left:121px; top:268px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="65" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:69px; height:0px; left:219px; top:268px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="61" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:205px; height:0px; left:333px; top:268px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="197" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:103px; height:0px; left:566px; top:268px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="95" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:105px; height:15px; left:51px; top:228px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">工作单位及地址</div></div>
<div style="position:absolute; width:77px; height:15px; left:51px; top:252px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">联系人姓名</div></div>
<div style="position:absolute; width:64px; height:15px; left:51px; top:276px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">入院途径</div></div>
<div style="position:absolute; width:64px; height:15px; left:51px; top:300px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">入院时间</div></div>
<div style="position:absolute; width:64px; height:15px; left:51px; top:324px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">出院时间</div></div>
<div style="position:absolute; width:64px; height:15px; left:461px; top:348px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">疾病编码</div></div>
<div style="position:absolute; width:331px; height:0px; left:136px; top:364px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="323" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:177px; height:0px; left:519px; top:364px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="169" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:370px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:60px; height:14px; left:138px; top:382px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">出院诊断</div></div>
<div style="position:absolute; width:36px; height:27px; left:358px; top:375px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">入院病情</div></div>
<div style="position:absolute; width:60px; height:14px; left:455px; top:382px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">出院诊断</div></div>
<div style="position:absolute; width:36px; height:27px; left:660px; top:375px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">入院病情</div></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:405px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:430px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:455px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:480px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:530px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:555px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:580px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:605px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:91px; height:15px; left:509px; top:786px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">死亡患者尸检</div></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:630px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:505px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:8px; height:310px; left:286px; top:371px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="310"></td></tr></table></div>
<div style="position:absolute; width:8px; height:310px; left:354px; top:371px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="310"></td></tr></table></div>
<div style="position:absolute; width:71px; height:15px; left:397px; top:411px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">其他诊断:</div></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:655px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:8px; height:335px; left:390px; top:371px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="335"></td></tr></table></div>
<div style="position:absolute; width:8px; height:335px; left:586px; top:371px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="335"></td></tr></table></div>
<div style="position:absolute; width:8px; height:335px; left:655px; top:370px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="335"></td></tr></table></div>
<div style="position:absolute; width:93px; height:15px; left:51px; top:348px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">门(急)诊诊断</div></div>
<div style="position:absolute; width:71px; height:15px; left:51px; top:410px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">主要诊断:</div></div>
<div style="position:absolute; width:71px; height:15px; left:51px; top:436px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">其他诊断:</div></div>
<div style="position:absolute; width:246px; height:15px; left:117px; top:686px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">1.有，2.临床未确定，3.情况不明，4.无</div></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:680px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:72px; height:15px; left:51px; top:686px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">入院病情：</div></div>
<div style="position:absolute; width:64px; height:15px; left:508px; top:711px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">疾病编码</div></div>
<div style="position:absolute; width:322px; height:0px; left:192px; top:726px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="314" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:132px; height:0px; left:565px; top:726px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="124" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:705px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:730px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:397px; height:0px; left:116px; top:752px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="389" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:132px; height:0px; left:565px; top:752px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="124" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:64px; height:15px; left:508px; top:736px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">疾病编码</div></div>
<div style="position:absolute; width:49px; height:15px; left:508px; top:761px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">病理号</div></div>
<div style="position:absolute; width:146px; height:0px; left:551px; top:776px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="138" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:460px; height:0px; left:51px; top:776px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="452" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:67px; height:15px; left:198px; top:786px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">过敏药物：</div></div>
<div style="position:absolute; width:254px; height:0px; left:258px; top:802px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="246" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:148px; height:15px; left:51px; top:711px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">损伤、中毒的外部原因</div></div>
<div style="position:absolute; width:72px; height:15px; left:51px; top:736px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">病理诊断：</div></div>
<div style="position:absolute; width:64px; height:15px; left:51px; top:786px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">药物过敏</div></div>
<div style="position:absolute; width:37px; height:15px; left:51px; top:811px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">血型</div></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:780px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:24px; height:15px; left:415px; top:811px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">Rh</div></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:805px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:121px; height:15px; left:194px; top:836px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">主任(副主任)医师</div></div>
<div style="position:absolute; width:64px; height:15px; left:377px; top:836px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">主治医师</div></div>
<div style="position:absolute; width:64px; height:15px; left:525px; top:836px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">住院医师</div></div>
<div style="position:absolute; width:50px; height:15px; left:51px; top:836px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">科主任</div></div>
<div style="position:absolute; width:63px; height:15px; left:194px; top:861px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">进修医生</div></div>
<div style="position:absolute; width:65px; height:15px; left:377px; top:861px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">实习医师</div></div>
<div style="position:absolute; width:50px; height:15px; left:526px; top:861px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">编码员</div></div>
<div style="position:absolute; width:103px; height:0px; left:94px; top:852px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="95" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:73px; height:0px; left:308px; top:852px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="65" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:96px; height:0px; left:434px; top:852px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="88" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:116px; height:0px; left:581px; top:852px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="108" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:90px; height:0px; left:107px; top:876px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="82" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:131px; height:0px; left:250px; top:876px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="123" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:96px; height:0px; left:434px; top:876px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="88" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:125px; height:0px; left:570px; top:876px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="117" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:830px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:880px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:64px; height:15px; left:51px; top:861px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">责任护士</div></div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1159px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1184px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1234px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1259px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1209px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:64px; height:15px; left:49px; top:886px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">病案质量</div></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1284px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:8px; height:249px; left:168px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="249"></td></tr></table></div>
<div style="position:absolute; width:8px; height:249px; left:201px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="249"></td></tr></table></div>
<div style="position:absolute; width:8px; height:249px; left:334px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="249"></td></tr></table></div>
<div style="position:absolute; width:8px; height:249px; left:504px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="249"></td></tr></table></div>
<div style="position:absolute; width:8px; height:249px; left:551px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="249"></td></tr></table></div>
<div style="position:absolute; width:8px; height:249px; left:629px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="249"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1334px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:290px; height:15px; left:127px; top:1372px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">1.医嘱离院  2.医嘱转院，拟接收医疗机构名称：</div></div>
<div style="position:absolute; width:244px; height:0px; left:410px; top:1387px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="236" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:121px; height:0px; left:415px; top:1406px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="113" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:166px; height:15px; left:532px; top:1391px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">4.非医嘱离院5.死亡9.其他</div></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1359px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:64px; height:15px; left:51px; top:1371px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">离院方式</div></div>
<div style="position:absolute; width:373px; height:15px; left:51px; top:1391px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">3.医嘱转社区卫生服务机构/乡镇卫生院，拟接收医疗机构名称：</div></div>
<div style="position:absolute; width:40px; height:15px; left:331px; top:1415px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">目的:</div></div>
<div style="position:absolute; width:305px; height:0px; left:366px; top:1430px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="297" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1409px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1434px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1459px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:47px; height:15px; left:205px; top:1440px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">入院前</div></div>
<div style="position:absolute; width:38px; height:0px; left:245px; top:1455px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="30" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:21px; height:15px; left:277px; top:1440px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">天</div></div>
<div style="position:absolute; width:38px; height:0px; left:291px; top:1455px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="30" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:34px; height:15px; left:324px; top:1440px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">小时</div></div>
<div style="position:absolute; width:38px; height:0px; left:352px; top:1455px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="30" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:33px; height:15px; left:385px; top:1440px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">分钟</div></div>
<div style="position:absolute; width:47px; height:15px; left:443px; top:1440px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">入院后</div></div>
<div style="position:absolute; width:38px; height:0px; left:483px; top:1455px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="30" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:21px; height:15px; left:515px; top:1440px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">天</div></div>
<div style="position:absolute; width:38px; height:0px; left:529px; top:1455px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="30" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:34px; height:15px; left:562px; top:1440px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">小时</div></div>
<div style="position:absolute; width:38px; height:0px; left:590px; top:1455px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="30" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:33px; height:15px; left:623px; top:1440px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">分钟</div></div>
<div style="position:absolute; width:180px; height:15px; left:51px; top:1415px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">是否有出院31天内再住院计划</div></div>
<div style="position:absolute; width:158px; height:0px; left:204px; top:1480px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="150" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:98px; height:0px; left:429px; top:1481px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="90" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:81px; height:15px; left:355px; top:1465px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（自付金额：</div></div>
<div style="position:absolute; width:15px; height:15px; left:521px; top:1465px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">）</div></div>
<div style="position:absolute; width:145px; height:15px; left:51px; top:1439px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">颅脑损伤患者昏迷时间：</div></div>
<div style="position:absolute; width:72px; height:0px; left:144px; top:1524px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="64" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:62px; height:0px; left:181px; top:1569px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="54" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:274px; height:0px; left:261px; top:1591px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="266" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:320px; height:0px; left:162px; top:1613px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="312" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:69px; height:0px; left:230px; top:1657px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="61" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:212px; height:0px; left:204px; top:1679px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="204" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:84px; height:0px; left:217px; top:1701px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="76" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:84px; height:0px; left:392px; top:1701px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="76" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1813px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:57px; height:0px; left:241px; top:1788px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="49" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:139px; height:15px; left:172px; top:1487px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（1）一般医疗服务费：</div></div>
<div style="position:absolute; width:138px; height:15px; left:354px; top:1487px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（2）一般治疗操作费：</div></div>
<div style="position:absolute; width:87px; height:15px; left:538px; top:1487px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（3）护理费：</div></div>
<div style="position:absolute; width:56px; height:0px; left:304px; top:1502px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="48" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:58px; height:0px; left:484px; top:1502px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="50" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:58px; height:0px; left:618px; top:1502px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="50" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:161px; height:15px; left:51px; top:1465px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">住院费用（元）：总费用</div></div>
<div style="position:absolute; width:128px; height:15px; left:51px; top:1487px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">1.综合医疗服务类：</div></div>
<div style="position:absolute; width:100px; height:15px; left:51px; top:1509px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（4）其他费用：</div></div>
<div style="position:absolute; width:138px; height:15px; left:51px; top:1553px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（8）临床诊断项目费：</div></div>
<div style="position:absolute; width:197px; height:15px; left:51px; top:1773px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（23）手术用一次性医用材料费：</div></div>
<div style="position:absolute; width:73px; height:15px; left:51px; top:1531px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">2.诊断类：</div></div>
<div style="position:absolute; width:112px; height:15px; left:118px; top:1531px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（5）病理诊断费：</div></div>
<div style="position:absolute; width:126px; height:15px; left:278px; top:1531px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（6）实验室诊断费：</div></div>
<div style="position:absolute; width:124px; height:15px; left:455px; top:1531px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（7）影像学诊断费：</div></div>
<div style="position:absolute; width:62px; height:0px; left:222px; top:1547px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="54" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:66px; height:0px; left:396px; top:1547px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="58" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:66px; height:0px; left:572px; top:1547px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="58" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:73px; height:15px; left:51px; top:1575px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">3.治疗类：</div></div>
<div style="position:absolute; width:151px; height:15px; left:118px; top:1575px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（9）非手术治疗项目费：</div></div>
<div style="position:absolute; width:120px; height:15px; left:370px; top:1575px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（临床物理治疗费：</div></div>
<div style="position:absolute; width:15px; height:15px; left:529px; top:1575px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">）</div></div>
<div style="position:absolute; width:119px; height:15px; left:51px; top:1597px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（10）手术治疗费：</div></div>
<div style="position:absolute; width:66px; height:15px; left:256px; top:1597px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（麻醉费：</div></div>
<div style="position:absolute; width:53px; height:15px; left:377px; top:1597px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">手术费：</div></div>
<div style="position:absolute; width:15px; height:15px; left:475px; top:1597px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">）</div></div>
<div style="position:absolute; width:74px; height:15px; left:51px; top:1619px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">4.康复类：</div></div>
<div style="position:absolute; width:94px; height:15px; left:119px; top:1619px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（11）康复费：</div></div>
<div style="position:absolute; width:62px; height:0px; left:205px; top:1634px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="54" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:73px; height:15px; left:51px; top:1641px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">5.中医类：</div></div>
<div style="position:absolute; width:119px; height:15px; left:118px; top:1641px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（12）中医治疗费：</div></div>
<div style="position:absolute; width:73px; height:15px; left:51px; top:1663px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">6.西药类：</div></div>
<div style="position:absolute; width:93px; height:15px; left:118px; top:1663px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（13）西药费：</div></div>
<div style="position:absolute; width:104px; height:15px; left:263px; top:1663px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（抗菌药物费用：</div></div>
<div style="position:absolute; width:15px; height:15px; left:409px; top:1663px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">）</div></div>
<div style="position:absolute; width:73px; height:15px; left:51px; top:1685px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">7.中药类：</div></div>
<div style="position:absolute; width:107px; height:15px; left:118px; top:1685px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（14）中成药费：</div></div>
<div style="position:absolute; width:106px; height:15px; left:294px; top:1685px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（15）中草药费：</div></div>
<div style="position:absolute; width:143px; height:15px; left:51px; top:1707px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">8.血液和血液制品类：</div></div>
<div style="position:absolute; width:80px; height:15px; left:188px; top:1707px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（16）血费：</div></div>
<div style="position:absolute; width:145px; height:15px; left:313px; top:1707px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（17）白蛋白类制品费：</div></div>
<div style="position:absolute; width:145px; height:15px; left:502px; top:1707px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（18）球蛋白类制品费：</div></div>
<div style="position:absolute; width:60px; height:0px; left:260px; top:1723px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="52" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:60px; height:0px; left:450px; top:1723px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="52" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:52px; height:0px; left:639px; top:1723px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="44" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:158px; height:15px; left:51px; top:1729px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（19）凝血因子类制品费：</div></div>
<div style="position:absolute; width:159px; height:15px; left:266px; top:1729px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（20）细胞因子类制品费：</div></div>
<div style="position:absolute; width:72px; height:0px; left:201px; top:1745px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="64" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:72px; height:0px; left:418px; top:1745px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="64" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:74px; height:15px; left:51px; top:1751px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">9.耗材类：</div></div>
<div style="position:absolute; width:197px; height:15px; left:119px; top:1751px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（21）检查用一次性医用材料费：</div></div>
<div style="position:absolute; width:197px; height:15px; left:383px; top:1751px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（22）治疗用一次性医用材料费：</div></div>
<div style="position:absolute; width:81px; height:0px; left:309px; top:1766px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="73" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:81px; height:0px; left:572px; top:1766px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="73" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:93px; height:15px; left:126px; top:1795px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（24）其他费：</div></div>
<div style="position:absolute; width:57px; height:0px; left:212px; top:1810px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="49" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:81px; height:15px; left:51px; top:1795px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">10.其他类：</div></div>
<div style="position:absolute; width:613px; height:15px; left:87px; top:1933px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（一）医疗付费方式  1.城镇职工基本医疗保险  2.城镇居民基本医疗保险 3.新型农村合作医疗 4.贫困</div></div>
<div style="position:absolute; width:42px; height:15px; left:51px; top:1933px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">说明:</div></div>
<div style="position:absolute; width:434px; height:15px; left:51px; top:1950px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">救助  5.商业医疗保险  6.全公费  7.全自费  8.其他社会保险  9.其他</div></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1927px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:8px; height:817px; left:42px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="817"></td></tr></table></div>
<div style="position:absolute; width:8px; height:817px; left:693px; top:1111px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="817"></td></tr></table></div>
<div style="position:absolute; width:90px; height:15px; left:573px; top:9px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">44515091-8</div></div>
<div style="position:absolute; width:32px; height:14px; left:348px; top:54px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="CENTER">1</div></div>
<div style="position:absolute; width:126px; height:14px; left:561px; top:54px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">00000021</div></div>
<div style="position:absolute; width:99px; height:14px; left:85px; top:85px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">孔甜甜</div></div>
<div style="position:absolute; width:103px; height:12px; left:223px; top:85px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.男>1.男<INPUT TYPE="radio" CHECKED VALUE=2.女>2.女</div>
<div style="position:absolute; width:126px; height:14px; left:380px; top:84px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">1982年11月13日</div></div>
<div style="position:absolute; width:37px; height:14px; left:562px; top:84px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">34岁</div></div>
<div style="position:absolute; width:66px; height:14px; left:624px; top:84px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">中国</div></div>
<div style="position:absolute; width:35px; height:15px; left:594px; top:84px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">国籍</div></div>
<div style="position:absolute; width:67px; height:0px; left:622px; top:100px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="59" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:53px; height:14px; left:627px; top:109px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:278px; height:14px; left:418px; top:157px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.未婚>1.未婚<INPUT TYPE="radio" CHECKED VALUE=2.已婚>2.已婚<INPUT TYPE="radio" VALUE=3.丧偶>3.丧偶<INPUT TYPE="radio" VALUE=4.离婚>4.离婚<INPUT TYPE="radio" VALUE=9.其他>9.其他</div>
<div style="position:absolute; width:237px; height:14px; left:151px; top:229px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:89px; height:14px; left:450px; top:228px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:100px; height:14px; left:568px; top:228px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:72px; height:14px; left:123px; top:253px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:201px; height:14px; left:337px; top:252px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:99px; height:14px; left:569px; top:252px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:526px; height:14px; left:114px; top:277px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.急诊>1.急诊<INPUT TYPE="radio" CHECKED VALUE=2.门诊>2.门诊<INPUT TYPE="radio" VALUE=3.其他医疗机构转入>3.其他医疗机构转入<INPUT TYPE="radio" VALUE=9.其他>9.其他</div>
<div style="position:absolute; width:326px; height:14px; left:139px; top:348px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:174px; height:14px; left:521px; top:348px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:70px; height:14px; left:590px; top:382px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="CENTER">疾病编码</div></div>
<div style="position:absolute; width:70px; height:14px; left:289px; top:382px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="CENTER">疾病编码</div></div>
<div style="position:absolute; width:316px; height:14px; left:196px; top:711px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:126px; height:14px; left:567px; top:711px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:393px; height:14px; left:119px; top:736px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:458px; height:14px; left:53px; top:760px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:126px; height:14px; left:569px; top:736px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:142px; height:14px; left:554px; top:761px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:93px; height:14px; left:110px; top:786px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.无>1.无<INPUT TYPE="radio" CHECKED VALUE=2.有>2.有</div>
<div style="position:absolute; width:253px; height:14px; left:259px; top:787px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">青霉素针(医,农)(国基)(阳性)，大蒜素针(医5,农)(阳性)</div></div>
<div style="position:absolute; width:97px; height:14px; left:599px; top:786px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.是>1.是<INPUT TYPE="radio" VALUE=2.否>2.否</div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:412px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">2</div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:437px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:462px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:487px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:512px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:537px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:562px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:587px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:612px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:637px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:367px; top:662px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:412px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:437px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:462px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:487px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:512px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:537px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:562px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:587px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:612px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:637px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:662px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:20px; height:14px; left:669px; top:687px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:333px; height:14px; left:86px; top:812px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.A>1.A<INPUT TYPE="radio" VALUE=2.B>2.B<INPUT TYPE="radio" CHECKED VALUE=3.O>3.O<INPUT TYPE="radio" VALUE=4.AB>4.AB<INPUT TYPE="radio" VALUE=5.不详>5.不详<INPUT TYPE="radio" VALUE=6.未查>6.未查</div>
<div style="position:absolute; width:230px; height:14px; left:435px; top:812px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" CHECKED VALUE=1.阴>1.阴<INPUT TYPE="radio" VALUE=2.阳>2.阳<INPUT TYPE="radio" VALUE=3.不详>3.不详<INPUT TYPE="radio" VALUE=4.未查>4.未查</div>
<div style="position:absolute; width:136px; height:14px; left:107px; top:887px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.甲>1.甲<INPUT TYPE="radio" VALUE=2.乙>2.乙<INPUT TYPE="radio" VALUE=3.丙>3.丙</div>
<div style="position:absolute; width:658px; height:0px; left:43px; top:73px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="650" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:15px; height:14px; left:112px; top:1372px;"><table width="15" border="0" cellspacing="0" cellpadding="0" style="border:solid 1px #000;"><tr><td height="14"></td></tr></table></div><div style="position:absolute; width:20px; height:14px; left:111px; top:1372px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:244px; height:14px; left:412px; top:1372px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:118px; height:14px; left:418px; top:1391px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:102px; height:14px; left:230px; top:1415px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.无>1.无<INPUT TYPE="radio" VALUE=2.有>2.有</div>
<div style="position:absolute; width:305px; height:14px; left:366px; top:1415px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:151px; height:14px; left:209px; top:1464px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:96px; height:14px; left:431px; top:1465px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:54px; height:14px; left:305px; top:1487px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:56px; height:14px; left:486px; top:1487px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:57px; height:14px; left:619px; top:1487px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:67px; height:14px; left:146px; top:1509px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:59px; height:14px; left:224px; top:1532px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:63px; height:14px; left:398px; top:1532px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:63px; height:14px; left:574px; top:1532px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:14px; left:183px; top:1554px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:111px; height:14px; left:264px; top:1576px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:51px; height:14px; left:484px; top:1576px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:97px; height:14px; left:164px; top:1598px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:67px; height:14px; left:316px; top:1598px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
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<div style="position:absolute; width:59px; height:14px; left:208px; top:1619px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:67px; height:14px; left:231px; top:1642px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:63px; height:14px; left:205px; top:1664px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:54px; height:14px; left:361px; top:1664px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:79px; height:14px; left:220px; top:1686px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:80px; height:14px; left:395px; top:1686px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:58px; height:14px; left:262px; top:1708px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:54px; height:14px; left:453px; top:1708px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:49px; height:14px; left:642px; top:1708px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:66px; height:14px; left:204px; top:1730px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:67px; height:14px; left:421px; top:1730px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:75px; height:14px; left:312px; top:1751px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:77px; height:14px; left:575px; top:1751px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:55px; height:14px; left:242px; top:1773px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:55px; height:14px; left:213px; top:1795px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:100px; height:14px; left:97px; top:837px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:87px; height:14px; left:110px; top:861px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:71px; height:14px; left:310px; top:837px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">蔡翑</div></div>
<div style="position:absolute; width:93px; height:14px; left:437px; top:837px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">蔡翑</div></div>
<div style="position:absolute; width:113px; height:14px; left:584px; top:837px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">陈荔娟</div></div>
<div style="position:absolute; width:126px; height:14px; left:253px; top:860px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:93px; height:14px; left:437px; top:861px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:123px; height:14px; left:571px; top:861px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:35px; height:14px; left:247px; top:1440px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:38px; height:14px; left:291px; top:1440px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:38px; height:14px; left:353px; top:1440px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:38px; height:14px; left:483px; top:1440px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:38px; height:14px; left:530px; top:1440px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:38px; height:14px; left:591px; top:1440px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:107px; height:15px; left:217px; top:1130px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">手术及操作名称</div></div>
<div style="position:absolute; width:108px; height:15px; left:369px; top:1117px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">手术及操作医师</div></div>
<div style="position:absolute; width:177px; height:0px; left:335px; top:1135px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="169" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:40px; height:15px; left:346px; top:1141px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">术者</div></div>
<div style="position:absolute; width:40px; height:15px; left:403px; top:1141px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">Ⅰ助</div></div>
<div style="position:absolute; width:40px; height:15px; left:460px; top:1140px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">Ⅱ助</div></div>
<div style="position:absolute; width:60px; height:14px; left:337px; top:1166px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:14px; left:337px; top:1191px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:14px; left:337px; top:1216px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:14px; left:337px; top:1241px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:14px; left:337px; top:1266px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:14px; left:337px; top:1291px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:14px; left:337px; top:1316px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:14px; left:337px; top:1341px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:8px; height:225px; left:390px; top:1135px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="225"></td></tr></table></div>
<div style="position:absolute; width:8px; height:225px; left:446px; top:1135px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="1" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="225"></td></tr></table></div>
<div style="position:absolute; width:20px; height:14px; left:510px; top:1166px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:14px; height:14px; left:525px; top:1166px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">/</div></div>
<div style="position:absolute; width:20px; height:14px; left:533px; top:1166px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:510px; top:1191px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:14px; height:14px; left:525px; top:1191px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">/</div></div>
<div style="position:absolute; width:20px; height:14px; left:533px; top:1191px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:510px; top:1216px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:14px; height:14px; left:525px; top:1216px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">/</div></div>
<div style="position:absolute; width:20px; height:14px; left:533px; top:1216px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:510px; top:1241px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:14px; height:14px; left:525px; top:1241px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">/</div></div>
<div style="position:absolute; width:20px; height:14px; left:533px; top:1241px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:510px; top:1266px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:14px; height:14px; left:525px; top:1266px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">/</div></div>
<div style="position:absolute; width:20px; height:14px; left:533px; top:1266px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:510px; top:1291px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:14px; height:14px; left:525px; top:1291px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">/</div></div>
<div style="position:absolute; width:20px; height:14px; left:533px; top:1291px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:510px; top:1316px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:14px; height:14px; left:525px; top:1316px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">/</div></div>
<div style="position:absolute; width:20px; height:14px; left:533px; top:1316px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:510px; top:1341px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:14px; height:14px; left:525px; top:1341px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">/</div></div>
<div style="position:absolute; width:20px; height:14px; left:533px; top:1341px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:659px; height:0px; left:43px; top:1309px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="651" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:146px; height:14px; left:111px; top:300px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">2017年05月12日 13时</div></div>
<div style="position:absolute; width:145px; height:14px; left:112px; top:323px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:149px; height:0px; left:108px; top:316px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="141" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:149px; height:0px; left:108px; top:340px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="141" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:63px; height:15px; left:251px; top:300px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">入院科别</div></div>
<div style="position:absolute; width:63px; height:15px; left:251px; top:324px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">出院科别</div></div>
<div style="position:absolute; width:76px; height:14px; left:309px; top:300px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">心血管内科</div></div>
<div style="position:absolute; width:77px; height:14px; left:309px; top:324px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:78px; height:0px; left:307px; top:316px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="70" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:78px; height:0px; left:307px; top:340px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="70" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:36px; height:15px; left:380px; top:300px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">病房</div></div>
<div style="position:absolute; width:74px; height:14px; left:411px; top:300px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">一病区</div></div>
<div style="position:absolute; width:36px; height:15px; left:380px; top:324px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">病房</div></div>
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<div style="position:absolute; width:57px; height:14px; left:640px; top:181px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:57px; height:14px; left:640px; top:204px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:62px; height:0px; left:637px; top:220px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="54" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:125px; height:14px; left:485px; top:181px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:129px; height:0px; left:484px; top:196px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="121" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:51px; height:15px; left:51px; top:180px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">现住址</div></div>
<div style="position:absolute; width:36px; height:15px; left:454px; top:180px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">电话</div></div>
<div style="position:absolute; width:37px; height:15px; left:608px; top:180px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">邮编</div></div>
<div style="position:absolute; width:64px; height:15px; left:51px; top:204px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">户口地址</div></div>
<div style="position:absolute; width:37px; height:15px; left:608px; top:204px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">邮编</div></div>
<div style="position:absolute; width:61px; height:14px; left:94px; top:132px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">省</div></div>
<div style="position:absolute; width:136px; height:14px; left:151px; top:132px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">市</div></div>
<div style="position:absolute; width:90px; height:14px; left:280px; top:132px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">县</div></div>
<div style="position:absolute; width:101px; height:14px; left:397px; top:131px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">省</div></div>
<div style="position:absolute; width:91px; height:14px; left:491px; top:132px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">市</div></div>
<div style="position:absolute; width:69px; height:14px; left:97px; top:180px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">浙江省</div></div>
<div style="position:absolute; width:130px; height:14px; left:160px; top:181px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">杭州市</div></div>
<div style="position:absolute; width:86px; height:14px; left:283px; top:181px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">西湖区</div></div>
<div style="position:absolute; width:96px; height:14px; left:362px; top:181px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:70px; height:14px; left:109px; top:205px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">省</div></div>
<div style="position:absolute; width:129px; height:14px; left:173px; top:205px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">市</div></div>
<div style="position:absolute; width:86px; height:14px; left:295px; top:205px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="RIGHT">县</div></div>
<div style="position:absolute; width:187px; height:14px; left:374px; top:205px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:511px; height:15px; left:51px; top:1967px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">（二）凡可由医院信息系统提供住院费用清单的，住院病案首页中可不填写"住院费用"。</div></div>
<div style="position:absolute; width:665px; height:312px; left:43px; top:2006px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="657" border="0" cellspacing="0" cellpadding="0"  style="border:solid 1px #000;"><tr><td height="312"></td></tr></table></div>
<div style="position:absolute; width:663px; height:0px; left:44px; top:2167px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="655" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:663px; height:0px; left:44px; top:2268px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="655" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:175px; height:14px; left:128px; top:2014px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.危>1.危<INPUT TYPE="radio" VALUE=2.急>2.急<INPUT TYPE="radio" VALUE=3.一般>3.一般</div>
<div style="position:absolute; width:150px; height:14px; left:154px; top:2032px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:79px; height:14px; left:54px; top:2014px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">入院时情况：</div></div>
<div style="position:absolute; width:105px; height:14px; left:54px; top:2032px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">入院后确诊日期：</div></div>
<div style="position:absolute; width:152px; height:0px; left:152px; top:2048px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="144" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:161px; height:14px; left:54px; top:2053px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">门诊与出院诊断符合情况：</div></div>
<div style="position:absolute; width:288px; height:14px; left:210px; top:2053px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.符合>1.符合<INPUT TYPE="radio" VALUE=2.不符合>2.不符合<INPUT TYPE="radio" VALUE=3.待查>3.待查<INPUT TYPE="radio" VALUE=4.无对照>4.无对照</div>
<div style="position:absolute; width:161px; height:14px; left:54px; top:2072px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">入院与出院诊断符合情况：</div></div>
<div style="position:absolute; width:288px; height:14px; left:210px; top:2072px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.符合>1.符合<INPUT TYPE="radio" VALUE=2.不符合>2.不符合<INPUT TYPE="radio" VALUE=3.待查>3.待查<INPUT TYPE="radio" VALUE=4.无对照>4.无对照</div>
<div style="position:absolute; width:161px; height:14px; left:54px; top:2091px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">术前与术后诊断符合情况：</div></div>
<div style="position:absolute; width:288px; height:14px; left:210px; top:2091px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.符合>1.符合<INPUT TYPE="radio" VALUE=2.不符合>2.不符合<INPUT TYPE="radio" VALUE=3.待查>3.待查<INPUT TYPE="radio" VALUE=4.无对照>4.无对照</div>
<div style="position:absolute; width:161px; height:14px; left:54px; top:2110px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">临床与病理诊断符合情况：</div></div>
<div style="position:absolute; width:288px; height:14px; left:210px; top:2110px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.符合>1.符合<INPUT TYPE="radio" VALUE=2.不符合>2.不符合<INPUT TYPE="radio" VALUE=3.待查>3.待查<INPUT TYPE="radio" VALUE=4.无对照>4.无对照</div>
<div style="position:absolute; width:161px; height:14px; left:54px; top:2129px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">放射与病理诊断符合情况：</div></div>
<div style="position:absolute; width:288px; height:14px; left:211px; top:2129px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.符合>1.符合<INPUT TYPE="radio" VALUE=2.不符合>2.不符合<INPUT TYPE="radio" VALUE=3.待查>3.待查<INPUT TYPE="radio" VALUE=4.无对照>4.无对照</div>
<div style="position:absolute; width:94px; height:14px; left:54px; top:2148px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">最高诊断依据：</div></div>
<div style="position:absolute; width:68px; height:14px; left:296px; top:2148px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">分化程度：</div></div>
<div style="position:absolute; width:106px; height:14px; left:54px; top:2172px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">重症监护室名称：</div></div>
<div style="position:absolute; width:123px; height:14px; left:581px; top:2172px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:66px; height:14px; left:345px; top:2172px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">进入时间：</div></div>
<div style="position:absolute; width:66px; height:14px; left:521px; top:2172px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">退出时间：</div></div>
<div style="position:absolute; width:193px; height:14px; left:154px; top:2172px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:195px; height:0px; left:153px; top:2187px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="187" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:119px; height:14px; left:405px; top:2172px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:122px; height:0px; left:403px; top:2187px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="114" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:127px; height:0px; left:578px; top:2187px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="119" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:56px; height:14px; left:54px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">特级护理</div></div>
<div style="position:absolute; width:32px; height:14px; left:104px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:26px; height:14px; left:131px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">天</div></div>
<div style="position:absolute; width:56px; height:14px; left:160px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">一级护理</div></div>
<div style="position:absolute; width:32px; height:14px; left:210px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:26px; height:14px; left:237px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">天</div></div>
<div style="position:absolute; width:56px; height:14px; left:266px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">二级护理</div></div>
<div style="position:absolute; width:32px; height:14px; left:316px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:26px; height:14px; left:343px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">天</div></div>
<div style="position:absolute; width:56px; height:14px; left:371px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">三级护理</div></div>
<div style="position:absolute; width:32px; height:14px; left:421px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:26px; height:14px; left:448px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">天</div></div>
<div style="position:absolute; width:68px; height:14px; left:485px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">呼吸机使用</div></div>
<div style="position:absolute; width:32px; height:14px; left:547px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:22px; height:14px; left:573px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">天</div></div>
<div style="position:absolute; width:32px; height:14px; left:590px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:32px; height:14px; left:616px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">小时</div></div>
<div style="position:absolute; width:32px; height:14px; left:643px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:32px; height:14px; left:669px; top:2192px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">分钟</div></div>
<div style="position:absolute; width:34px; height:0px; left:102px; top:2207px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="26" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:35px; height:0px; left:208px; top:2207px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:35px; height:0px; left:315px; top:2207px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:35px; height:0px; left:420px; top:2207px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:35px; height:0px; left:546px; top:2207px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:35px; height:0px; left:589px; top:2207px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:35px; height:0px; left:642px; top:2207px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:93px; height:14px; left:54px; top:2212px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">手术患者类型：</div></div>
<div style="position:absolute; width:94px; height:14px; left:141px; top:2212px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:196px; height:14px; left:241px; top:2212px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">手术治疗检查诊断为本院第一例：</div></div>
<div style="position:absolute; width:101px; height:14px; left:431px; top:2212px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.是>1.是<INPUT TYPE="radio" VALUE=2.否>2.否</div>
<div style="position:absolute; width:32px; height:14px; left:534px; top:2212px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">抢救</div></div>
<div style="position:absolute; width:31px; height:14px; left:561px; top:2212px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:23px; height:14px; left:587px; top:2212px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">次</div></div>
<div style="position:absolute; width:32px; height:14px; left:627px; top:2212px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">成功</div></div>
<div style="position:absolute; width:32px; height:15px; left:654px; top:2212px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:23px; height:14px; left:681px; top:2212px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">次</div></div>
<div style="position:absolute; width:35px; height:0px; left:559px; top:2227px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:35px; height:0px; left:653px; top:2227px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:67px; height:14px; left:54px; top:2230px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">输血反应：</div></div>
<div style="position:absolute; width:180px; height:14px; left:115px; top:2231px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.未输>1.未输<INPUT TYPE="radio" VALUE=2.有>2.有<INPUT TYPE="radio" VALUE=3.无>3.无</div>
<div style="position:absolute; width:33px; height:14px; left:630px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">其他</div></div>
<div style="position:absolute; width:33px; height:14px; left:657px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:684px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">ml</div></div>
<div style="position:absolute; width:35px; height:0px; left:656px; top:2247px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:35px; height:0px; left:579px; top:2247px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:50px; height:14px; left:55px; top:2251px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">HBsAg：</div></div>
<div style="position:absolute; width:176px; height:14px; left:99px; top:2251px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.未做>1.未做<INPUT TYPE="radio" VALUE=2.阴性>2.阴性<INPUT TYPE="radio" VALUE=3.阳性>3.阳性</div>
<div style="position:absolute; width:169px; height:14px; left:320px; top:2251px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.未做>1.未做<INPUT TYPE="radio" VALUE=2.阴性>2.阴性<INPUT TYPE="radio" VALUE=3.阳性>3.阳性</div>
<div style="position:absolute; width:169px; height:14px; left:536px; top:2251px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.未做>1.未做<INPUT TYPE="radio" VALUE=2.阴性>2.阴性<INPUT TYPE="radio" VALUE=3.阳性>3.阳性</div>
<div style="position:absolute; width:50px; height:14px; left:276px; top:2251px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">HCVAb：</div></div>
<div style="position:absolute; width:50px; height:14px; left:492px; top:2251px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">HIVAb：</div></div>
<div style="position:absolute; width:66px; height:14px; left:56px; top:2274px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">示教病例：</div></div>
<div style="position:absolute; width:289px; height:14px; left:415px; top:2274px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.治愈>1.治愈<INPUT TYPE="radio" VALUE=2.好转>2.好转<INPUT TYPE="radio" VALUE=3.未愈>3.未愈<INPUT TYPE="radio" VALUE=4.死亡>4.死亡<INPUT TYPE="radio" VALUE=5.其他>5.其他</div>
<div style="position:absolute; width:100px; height:14px; left:116px; top:2274px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.是>1.是<INPUT TYPE="radio" VALUE=2.否>2.否</div>
<div style="position:absolute; width:66px; height:14px; left:354px; top:2274px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">出院情况：</div></div>
<div style="position:absolute; width:66px; height:14px; left:57px; top:2293px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">随诊周数：</div></div>
<div style="position:absolute; width:74px; height:14px; left:118px; top:2293px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:74px; height:14px; left:276px; top:2293px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:74px; height:14px; left:442px; top:2293px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:66px; height:14px; left:215px; top:2293px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">随诊月数：</div></div>
<div style="position:absolute; width:66px; height:14px; left:381px; top:2293px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">随诊年数：</div></div>
<div style="position:absolute; width:93px; height:0px; left:141px; top:2227px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="85" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:76px; height:0px; left:115px; top:2309px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="68" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:76px; height:0px; left:275px; top:2309px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="68" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:76px; height:0px; left:443px; top:2309px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="68" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:202px; height:14px; left:41px; top:1987px;font-family:宋体;font-size:9pt;font-weight:700;color:#0D00800;"><div align="LEFT">医院质量监测附表（HQMS）：</div></div>
<div style="position:absolute; width:33px; height:14px; left:554px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">全血</div></div>
<div style="position:absolute; width:33px; height:14px; left:581px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:608px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">ml</div></div>
<div style="position:absolute; width:33px; height:14px; left:478px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">血浆</div></div>
<div style="position:absolute; width:33px; height:14px; left:504px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:531px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">ml</div></div>
<div style="position:absolute; width:35px; height:0px; left:501px; top:2247px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="27" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:44px; height:14px; left:391px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">血小板</div></div>
<div style="position:absolute; width:31px; height:14px; left:429px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:454px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">ml</div></div>
<div style="position:absolute; width:34px; height:0px; left:427px; top:2247px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="26" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:45px; height:14px; left:302px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">红细胞</div></div>
<div style="position:absolute; width:33px; height:14px; left:341px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:20px; height:14px; left:368px; top:2232px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">ml</div></div>
<div style="position:absolute; width:34px; height:0px; left:339px; top:2247px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="26" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:40px; height:14px; left:216px; top:2274px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">随诊：</div></div>
<div style="position:absolute; width:101px; height:14px; left:250px; top:2274px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><INPUT TYPE="radio" VALUE=1.是>1.是<INPUT TYPE="radio" VALUE=2.否>2.否</div>
<div style="position:absolute; width:63px; height:0px; left:639px; top:2310px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="55" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:92px; height:14px; left:554px; top:2294px;font-family:宋体;font-size:9pt;font-weight:700;color:#000200;"><div align="LEFT">医院感染次数：</div></div>
<div style="position:absolute; width:64px; height:14px; left:639px; top:2294px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:135px; height:0px; left:141px; top:2164px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="127" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:134px; height:14px; left:142px; top:2148px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:143px; height:0px; left:359px; top:2164px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="135" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:141px; height:14px; left:359px; top:2148px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:125px; height:0px; left:575px; top:902px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="117" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:124px; height:14px; left:574px; top:887px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:60px; height:15px; left:517px; top:886px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">质控日期</div></div>
<div style="position:absolute; width:65px; height:15px; left:238px; top:886px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">质控医师</div></div>
<div style="position:absolute; width:86px; height:14px; left:298px; top:887px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:88px; height:0px; left:294px; top:902px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="80" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:63px; height:15px; left:379px; top:886px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">质控护士</div></div>
<div style="position:absolute; width:85px; height:0px; left:436px; top:902px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="77" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:86px; height:14px; left:436px; top:887px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER"></div></div>
<div style="position:absolute; width:35px; height:15px; left:260px; top:156px;font-family:宋体;font-size:10pt;font-weight:700;color:#000200;"><div align="LEFT">职业</div></div>
<div style="position:absolute; width:101px; height:14px; left:290px; top:157px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">工人</div></div>
<div style="position:absolute; width:102px; height:0px; left:289px; top:172px;font-family:宋体;font-size:11pt;font-weight:400;"><table width="94" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000"><tr><td height="1"></td></tr></table></div>
<div style="position:absolute; width:61px; height:26px; left:42px; top:25px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">医疗付费方式：</div></div>
<div style="position:absolute; width:68px; height:15px; left:42px; top:53px;font-family:宋体;font-size:10pt;font-weight:400;color:#000200;"><div align="LEFT">健康卡号：</div></div>
<div style="position:absolute; width:147px; height:13px; left:99px; top:35px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="CENTER">3.新型农村合作医疗</div></div>
<div style="position:absolute; width:126px; height:14px; left:105px; top:54px;font-family:宋体;font-size:9pt;font-weight:400;color:#000200;"><div align="LEFT">11111</div></div>
<div style="position:absolute; width:128px; height:21px; left:463px; top:407px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:174px; height:21px; left:117px; top:407px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT">胫腓骨闭合性骨折</div></div>
<div style="position:absolute; width:174px; height:21px; left:117px; top:432px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:457px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:482px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:507px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:532px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:557px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:582px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:607px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:632px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:238px; height:21px; left:53px; top:657px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:432px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:457px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:482px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:532px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:507px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:557px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:582px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:607px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:632px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:657px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
<div style="position:absolute; width:193px; height:21px; left:398px; top:682px;font-family:宋体;font-size:8pt;font-weight:400;color:#000200;"><div align="LEFT"></div></div>
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